| NPI | 1083121354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.020382) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.015443) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2022-09-23 |